Introduction To PBL at Hull York Medical School - Transcript
Introduction To PBL at Hull York Medical School - Transcript
The Other members The other group members are all responsible for the success of the group, respecting the roles of the others and contributing ideas. Teamwork and conflict resolution are important skills that are developed among the whole group. So now that the roles of the PBL group are decided, what does the process of PBL look like? There are seven stages in the HYMS PBL process. The first five stages occur in the same session. Stage 1: Read the case and identify key words In this first stage, the students read the case through carefully, identifying key words and clarifying unfamiliar terms. This helps to engage all members of the group and to focus them on the task, starting the learning process and encouraging clarity in the use of language. [Student reads problem out] The scribe records the key words and the group then moves on to Stage 2, defining the problem. Stage 2: Define the Problem A problem in this sense is anything relevant to the care of the patient. This will include social or psychological issues as much as biomedical ones. The group defines the problems, including any topic that could be an issue, whether physiological, psychological or social. This serves to define the task ahead, to encourage deeper thought and to provide a framework for the rest of the discussion. The scribe records these topics and the group moves on to Stage 3: Stage 3: Brainstorm possible explanations In Stage 3, brainstorming possible explanations, the goal is not to solve the case. Rather, the members share their existing knowledge and identify areas needing further exploration. The goal is to understand the basic sciences and other key issues raised by this particular case. All members of the group should contribute what they already know in some detail. Often, groups will draw a mind map or spider diagram at this point. This sharing is a vital part of the PBL process and aims to encourage deeper learning by building on previous knowledge. Once the group has shared what they know about the topics, they return to the case and compare their explanations to see if they match the problem and whether the group has missed any key issues. Stage 4: Arrange into possible solutions In Stage 4, the students work together to arrange their explanations into possible solutions. Here the students identify areas that they think are relevant to this case and derive preliminary hypotheses to
explain the material they have been presented with. The scribe reflects this in the development of the mind map.
Stage 5: Defining the Learning Objectives The group agrees on a set of focussed learning objectives for the coming week. This is where the facilitator may need to steer groups to define specific outcomes, making sure they are not too broad to be achieved. The learning objectives cover both knowledge and skills that students will work on during the week. This is also a time to identify key resources for self-directed learning.
[A few seconds of hearing the students identifying and writing up a learning outcome or two] Some learning objectives that the students come up with may be peripheral or too advanced for their current level. The facilitator can help them to identify secondary outcomes which can be explored by those who are interested, and deferred outcomes that can be put off for the time being. At this point, the first PBL session is almost complete. The Chair summarises the session and makes sure there are no questions. In addition, the chair should invite comment on the group process and encourage the members of the group to explore any areas of concern. Then the group is finished for the day! Stage 6: Self-directed learning [Montage of stills starting with a student studying (text or computer), then a plenary speaker, group in MFL, models, book cover, Blackboard computer screen, computer package screen] Now the hard work begins! Stage 6, self-directed learning, is aimed at covering the learning objectives and all students must study all of the outcomes. This does not mean that the students are sent off alone.
HYMS provides extensive resources and activities to help students in achieving the learning outcomes. These include plenaries, biopracticals, and library and computer based resources. [Second montage of clinical skills (examination, communications group) and student with patient in placement] Also, each week, students have clinical skills linked to the PBL cases and, in the final session of the week they see real patients, drawing together all of the learning from the week. [HYMS Study Guide over top of other stills] Stage 7: Sharing learning At the end of the week, having used all the resources for learning, the PBL group reconvenes. This final session brings us to the last stage of the PBL process.
Stage 7 Sharing the results of the learning that has gone on during the week. This is a very important session and serves several purposes. Individual knowledge is consolidated by articulating it to others. Group members assist each other in elaborating important concepts by hearing several perspectives on the same topic. Misconceptions are discussed and corrected and new questions may occur that require further learning. Students use many different approaches in these sessions, drawing diagrams, discussing difficult areas and using models and other resources to explain what they have learned. [Converging montage of students and resources] This completes one cycle of Problem-based learning. As we have seen, Problem-Based Learning at Hull York Medical School is one important part of a larger, complex learning environment. Because the curriculum is designed as a whole, all the activities undertaken by the students reinforce the learning objectives generated through PBL. In this way, HYMS ensures that students are wellprepared with the knowledge and skills needed to progress to the clinical environments in Year 3.
Credits roll